RT Journal Article SR Electronic T1 Spinal Melorheostosis: A Rare Cause for Thoracic Radiculopathy JF International Journal of Spine Surgery JO Int J Spine Surg FD International Society for the Advancement of Spine Surgery SP 7027 DO 10.14444/7027 A1 Renjith, K.R. A1 Shetty, Ajoy Prasad A1 Kanna P, Rishi Mukesh A1 Rajasekaran, S YR 2020 UL https://www.ijssurgery.com/content/early/2020/04/13/7027.abstract AB Background Symptomatic spinal melorheostosis is a rare entity, and its surgical management is even rarer. Our objective is to highlight the importance of considering spinal melorheostosis among the differential diagnosis of thoracic radiculopathy.Methods We report a case of melorheostosis involving the T9 vertebra presenting with unilateral radicular pain managed surgically by decompression and posterior stabilization.Results Our patient had complete symptomatic relief following surgical resection without any perioperative complications.Conclusions Spinal melorheostosis, although rare, forms an important differential diagnosis in patients presenting with thoracic radiculopathy where surgical management can be a viable option in cases refractory to conservative treatmentLevel of Evidence 5.